Robotic assisted laparoscopic partial nephrectomy is a safe and feasible procedure in patients with small exophytic masses. The robotic approach to laparoscopic partial nephrectomy does not offer any clinical advantage over conventional laparoscopic nephrectomy.

VRS has shown promising usefulness in enhancing patient care and improving communication between nurse, physician, and patient. VRS is not intended to replace daily face-to-face physician rounding. Additional features of this system are currently being evaluated, including four-way simultaneous video rounding as well as sending intraoperative photos and video clips for real-time patient/nurse education.

Other than an increased hospital stay by one day, patients 70 years and older undergoing laparoscopic nephrectomy can expect comparable perioperative outcomes to those achieved in younger patients. Such differences in the length of hospital stay may be mitigated by pure laparoscopic nephrectomy as opposed to hand-assisted laparoscopic nephrectomy in patients 70 years or older. These data may be useful in preoperative decision-making and counseling in this growing subset of patients.

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